Chapter 7 turns attention to the clinical dimension, chiefly the therapeutic relationship, to look at the experiences that the psychiatrists had with patients from South Asian cultures for two reasons. One was to learn more about the ways in which they were able to relate and address the socio-cultural needs as a way to think about the significance of the therapeutic dyad. Of especial relevance was the use of South Asian languages, the identification of idioms of distress, and somatization. It was equally important to learn about the various challenges faced in these relationships and the measures taken by professionals to ensure boundaries were respected both inside and outside the institution. The existential realities experienced by the psychiatrists of both generations increased their receptivity to the needs of other ethnic minorities. Some reported how colleagues would consult with them or refer patients from ethnic minorities to them in the belief that their understanding of displacement, isolation and cognate factors would be helpful in understanding their needs.